California Primary Care Medical Group, Inc.

LBN: California Primary Care Medical Group, Inc.
California Primary Care Medical Group, Inc. is an health care organization with primary practice located at 530 W Acacia St , Stockton CA 95203-2454. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. California Primary Care Medical Group, Inc. can be contacted via phone (209) 944-5550, or through Golden, Otashe Nyoku via phone (916) 837-1966.

Contact Information

Primary practice address
530 W Acacia St Stockton CA 95203-2454
Phone: (209) 944-5550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Golden, Otashe Nyoku Doctor of Medicine (MD)
Phone: (916) 837-1966

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X A70035 California

Profile Details

NPI number 1790910610
LBN Legal business name California Primary Care Medical Group, Inc.
DBA Doing business as
Authorized official Golden, Otashe Nyoku Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2009
Last updated May 21st, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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